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Title: Pig's ear: Streptococcus suis Meningitis and its associated inner ear implications.
Authors: Sena Esteves, S
Carvalho de Almeida, J
Abrunhosa, J
Almeida E Sousa, C
Arshad, Q
First Published: 30-Aug-2017
Publisher: Elsevier
Citation: IDCases, 2017, 10, pp. 55-57
Abstract: Streptococcus suis (S. suis) is a zoonotic pathogen commonly found in Asian countries. Infection with this bacterium typically clinically presents as meningitis and individuals whom handle swine are at increased risk of developing infections. We present a case of a patient with a S. suis meningitis who worked as a butcher. The 48-year-old man was admitted to our department with headaches, fevers, nausea and bilateral hearing loss. According to his medical history, the patient had sustained a cut on his finger while preparing pork meat. A microbiological examination of the cerebrospinal fluid and blood revealed S. suis. The patient was empirically treated with ceftriaxone, vancomycin and dexamethasone. The patient made a complete recovery from the meningitic process and inflammatory markers. However, the hearing and vestibular loss persisted with considerable functional impact upon his daily life. He was elected for a right cochlear implant, 7 weeks after the presentation with a poor outcome. It is important to remember that inner-ear dysfunction can occur frequently in S. suis meningitis surviving patients. Physicians should have a high index of suspicion if risk factors are present and initiate urgent treatment to prevent serious long-term consequences.
DOI Link: 10.1016/j.idcr.2017.08.015
ISSN: 2214-2509
Version: Publisher Version
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © the authors, 2017. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License (, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Appears in Collections:Published Articles, Dept. of Neuroscience, Psychology and Behaviour

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